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使用特定钙荧光团对硅酸钙基根管封闭剂的牙本质小管渗透情况

Dentinal Tubule Penetration of a Calcium Silicate-Based Root Canal Sealer Using a Specific Calcium Fluorophore.

作者信息

Coronas Viviane Siqueira, Villa Natália, Nascimento Angela Longo do, Duarte Pedro Henrique Marks, Rosa Ricardo Abreu da, Só Marcus Vinícius Reis

机构信息

Conservative Dentistry Department, School of Dentistry, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

出版信息

Braz Dent J. 2020 Mar-Apr;31(2):109-115. doi: 10.1590/0103-6440202002829.

Abstract

This study aimed to evaluate penetrability on dentinal tubule of a new bioceramic sealer through confocal laser scanning microscopy (CLSM). A specific fluorophore (Fluo-3) was mixed with the sealer. Forty distobuccal roots from maxillary molars were selected, and root canal preparation was carried out with Wave One Gold # 35.06 instruments. Roots were randomly assigned to 4 groups according to the filling procedures: Bioceramic/Lentulo (Sealer Plus BC); Bioceramic/EasyClean group, three activation of the sealer (3x20 s) with Easy Clean instrument; Bioceramic/Irrisonic: ultrasonic activation for 30 s; and AHplus/Lentulo: epoxy resin based sealer (AH Plus) was utilized with the same protocol as the BC/LE group. After 72 h, specimens were transversally sectioned at 2 and 7 mm from root apex and then analyzed through CLSM. Sealer penetration area on dentinal tubule was measured by Adobe Photoshop CC2018. Kruskal Wallis and Wilcoxon T tests were carried out. Penetrability results were similar for both sealers regardless of which technique was performed to activate them inside the root canal (p>0.05). It is reasonable to conclude that penetration of bioceramic and epoxy resin based sealers occurred unimpressively. The type of instrument used to activate bioceramic sealer did not affect penetrability. Fluo 3 should be recommended as the fluorophore to evaluate dentinal tubule penetration of bioceramic sealers.

摘要

本研究旨在通过共聚焦激光扫描显微镜(CLSM)评估一种新型生物陶瓷封闭剂在牙本质小管中的渗透性。将一种特定的荧光团(Fluo-3)与封闭剂混合。选取40颗上颌磨牙的远中颊根,用Wave One Gold # 35.06器械进行根管预备。根据充填步骤将牙根随机分为4组:生物陶瓷/螺旋输送器组(封闭剂加生物陶瓷);生物陶瓷/易清洁组,用易清洁器械对封闭剂进行三次激活(3×20秒);生物陶瓷/超声激活组:超声激活30秒;以及AHplus/螺旋输送器组:采用与生物陶瓷/易清洁组相同的方案使用环氧树脂基封闭剂(AH Plus)。72小时后,在距根尖2毫米和7毫米处横向剖切标本,然后通过CLSM进行分析。用Adobe Photoshop CC2018测量牙本质小管上的封闭剂渗透面积。进行了Kruskal Wallis检验和Wilcoxon T检验。无论在根管内采用何种技术激活封闭剂,两种封闭剂的渗透性结果相似(p>0.05)。可以合理地得出结论,生物陶瓷和环氧树脂基封闭剂的渗透情况并不理想。用于激活生物陶瓷封闭剂的器械类型不影响渗透性。应推荐使用Fluo 3作为评估生物陶瓷封闭剂在牙本质小管中渗透性的荧光团。

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